Chronic Respiratory Disease

 

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Chronic Respiratory Disease, Vol. 2, No. 3, 151-161 (2005)
DOI: 10.1191/1479972305cd084ra

Reviews

Management of the chronically ventilated patient with a tracheostomy

J E Heffner

Medical University of South Carolina, Charleston, SC, USA

Tracheostomy is the most common surgical procedure performed on critically ill patients. For those who survive their critical illnesses but remain ventilator-dependent, tracheostomy provides patients with a secure airway that frees the mouth for oral nutrition, enhances verbalized speech, and promotes generalized comfort. Avoiding complications from tracheostomy requires a skilled multi-disciplinary approach to ensure that the benefits outweigh the risks of the procedure.

Key Words: intubation • mechanical ventilation • percutaneous dilational tracheostomy • respiratory failure • tracheostomy


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